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Microbiological Efficacy and Tolerability of a New, Non-Alcohol-Based Hand Disinfectant

Published online by Cambridge University Press:  02 January 2015

Niina Agthe ,
Kirsi Terho ,
Tiina Kurvinen ,
Marianne Routamaa ,
Reijo Peltonen ,
Kirsi Laitinen  and
Mari Kanerva
Niina Agthe*
Affiliation:
Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki
Kirsi Terho
Affiliation:
Department of Infection Control and Hospital Hygiene, Turku University Hospital, Turku, Finland
Tiina Kurvinen
Affiliation:
Department of Infection Control and Hospital Hygiene, Turku University Hospital, Turku, Finland
Marianne Routamaa
Affiliation:
Department of Infection Control and Hospital Hygiene, Turku University Hospital, Turku, Finland
Reijo Peltonen
Affiliation:
Department of Infection Control and Hospital Hygiene, Turku University Hospital, Turku, Finland
Kirsi Laitinen
Affiliation:
Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki
Mari Kanerva
Affiliation:
Department of Medicine, Division of Infectious Diseases, Helsinki University Central Hospital, Helsinki
*
Department of Public Health, Faculty of Medicine, University of Helsinki, PO Box 41 (Mannerheimintie 172), FIN-00014, University of Helsinki, Finland
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Abstract

Objective.

Alcohol-based hand disinfectants are widely used in hospitals. Occasionally, there is a need for non-alcohol-based products, but alternatives have been scarce. We studied the microbiological efficacy and tolerability of a water-based hand disinfectant for healthcare workers.

Design.

A water-based hand disinfectant was introduced as the only hand disinfectant in 5 wards in Turku University Hospital, Finland. Ninety-nine healthcare workers participated in fingerprint sampling during the 7-week study period. In another ward, 26 healthcare workers who were using alcohol-based hand disinfectant acted as control subjects for the skin reaction studies. The water-based product was tested in the laboratory according to the European standard EN 12791. We obtained 292 fingerprint samples before disinfection and 302 after disinfection. The opinions of healthcare workers were collected by use of a questionnaire, and skin reactions were assessed subjectively by use of questionnaires and objectively by measuring moisture and transepidermal water loss.

Results.

When tested in accordance with the European standard, the product met the requirements for short-term and long-term efficacy. The results of the fingerprint test showed that there was a statistically significant decrease in colonization of the fingertips before and after disinfection (P < .001).

The users of the water-based hand disinfectant reported dry skin more often than did control subjects, but visual inspection and the results of the moisture measurement showed no difference between the users of the water-based hand disinfectant and the control subjects. Transepidermal water loss measurement also showed no deterioration of skin condition.

Conclusions.

The water-based hand disinfectant was shown to be an effective hand disinfectant that caused relatively little skin irritation and can serve as a hand hygiene alternative in situations in which alcohol-based disinfectant cannot be used.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 7 , July 2009 , pp. 685 - 690
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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